Therapy That Works...

Resilience - The Three C's of Psychological Resilience - By Chris Gearing

Friday, June 28, 2013

Watch Dr. Sylvia Gearing describe the three C's of psychological resilience - click here.

Why do some people sail through adversity while other people fall apart at the drop of a hat?

Why do some of us remain happy despite repeated setbacks and losses? Several decades ago, psychologists began to research these questions hoping to not only define the personality characteristics behind psychological resilience but to teach others how to easily weather the ups and downs of life.

Their research concluded that psychological resilience could be summarized in three central attitudes, or “the three C’s”:

Commitment:

We establish our belief in ourselves and in our purpose by remaining steadfastly committed to a cause, to a philosophy, or to a larger identity. Working for a greater purpose in our lives, whether it’s rocking your baby to sleep or working on the cure for cancer, can create a sense of stability and purpose that helps in healing anxiety.

Control:

Anxious people try to control everything and everyone in their lives. If they cannot control you, they may try to dump you instead. Resilient people are assertive but leave room for you to be your own person. They focus on what they can control and disregard what they cannot change. They don’t sweat the small stuff, and they stay anchored in the moment and less reactive to life’s frustrations.

Challenge:

Resilient people view change as an opportunity instead of a burden. While change can leave a lot of uncertainty and room for anxiety, they look for ways to turn it to their advantage. They choose to engage life with joy and creativity. In the end, this belief system fortifies their hope and optimism that the best is yet to come.

Sources:

"Resilience at Work: How to Succeed No Matter What Life Throws at You" by Salvatore Maddi, Ph.D.

"The Hardy Executive: Health Under Stress" by Salvatore Maddi, Ph.D. and Suzanne Kobasa, Ph.D.

CBT - What Is Cognitive Behavioral Therapy? - By Chris Gearing

Monday, June 24, 2013

Watch Dr. Sylvia Gearing describe what Cognitive-Behavioral Therapy is and why it is one of the most effective types of psychotherapy - click here.

Our emotions can be overwhelming.

Everything’s fine one moment, and the next you can be flooded with a tempest of swirling thoughts and smothering feelings. Most people in a psychologist’s office come to their first appointment tortured by emotions and thoughts that seem to be taking over their lives. Their emotions define their daily activities and they can’t seem to regain control. They regularly experience thoughts that seem catastrophic and discouraging. They don’t understand how to fix the problem of chronically feeling anxious and depressed, and they often resort to self-sabotaging coping skills like oversleeping, overeating, self-medicating with drugs or alcohol, or altogether hiding from the world. Life is narrowed, pacified, and safe, but nothing is ever solved.

Cognitive Behavioral Therapy is the psychological treatment model that has the highest success rate of all psychotherapies according to research.

This approach presents a totally different method of dealing with troublesome emotions than most of us use. Rather than allowing feelings to direct our lives and steal our happiness, Cognitive Behavioral Therapy or CBT recognizes the close relationship between thoughts, feelings, and actions. Here are a few ways this therapeutic approach works:

Correcting Inaccurate Thoughts:

Actions and feelings begin with your thoughts, and if those thoughts are based on inaccurate beliefs, they can lead you into a dark place. Negative personal schemas, or sets of beliefs, can seem accurate when they occur. But like light refracted through a dirty, inaccurate lens, they are often slanted toward the negative and are completely misleading. Through CBT, we can clean the lens and make your thoughts more optimistic, effective, and accurate.

Taming Your Emotions:

Again, thoughts lead to feelings and your feelings determine your behaviors. When your negative, inaccurate thoughts are in the driver’s seat, you are bound to end up off course. Your emotions are treated like facts and are often used to determine what to do next. They are not questioned and they are not denied. We endow them with credibility that is undeserved. Psychologists call this Emotional Reasoning. CBT works to reestablish the critical relationship between thoughts, facts, and emotions in decision making to help you make the best choice in the future.

Dodging Thinking Traps:

Many people do not realize that their thoughts distinctly trend toward the negative. Many of us make unfair comparisons of ourselves to others or we overgeneralize a challenge as defining our past, present, and future. CBT teaches you some of the most common types of thinking traps, and it helps you develop a new way of thinking about and overcoming adversity.

Fighting Back:

One of the main strategies of CBT is disputing your negative thoughts and correcting your thinking if it gets off course. CBT teaches you how to make your mind work for you instead of against you. By arguing against inaccurate thoughts and emotions, you will find your mind to be clearer, calmer, and more optimistic.

Mindfulness - Mindfulness For Grief and Anxiety - By Chris Gearing

Friday, June 14, 2013

Watch Dr. Sylvia Gearing describe how mindfulness techniques can help you through the grief process and one of the easiest and most effective mindfulness skills - click here.

Few other life transitions are as impactful as the death of a trusted family member or cherished friend.

Even if we intellectually understand that their loss is approaching and even immediate, there is no amount of rehearsal that will ever fully prepare us for the final goodbye. The long nights ahead of us without our loved one can break even the sturdiest of hearts.

Many people turn to therapy after they have lost someone.

They are often extremely capable in most other areas of their life, but grief is the one problem that requires an entirely new set of solutions. They cannot escape the loss nor can they pretend that it never happened. They have to learn new skills to manage their grief and continue to live their own lives.

The traumatic effects of grief can be effectively managed with mindfulness and meditation techniques.

Research from Dr. Jon Kabat-Zinn reveals that mindfulness training and meditation can alter the physical structures of the brain. With regular mindfulness meditation, we can retrain our brain and learn to calm our emotions in just a few moments while still remaining present in what is happening around us. When we regain control, we can experience loss as painful and deeply sad but not as an overwhelming event. We are able to focus on our problems as temporary, solvable issues, not as impossible puzzles.

One of the easiest and best practices for mindfulness is intentional or focused breathing.

It is an incredibly effective strategy for handling the effects of overwhelming anxiety. Deep breaths slow down our thoughts and our bodies, and we can begin to focus only on the present. As you focus on this moment and calm down about the future, you can regain control and choose how you want to react.

Sources:

“Mindfulness For Beginners: Reclaiming The Present Moment – and Your Life” by Jon Kabat-Zinn

“Full Catastrophe Living: Using The Wisdom of Your Body and Mind To Face Stress, Pain, and Illness” by Jon Kabat-Zinn

Panic Attacks - How We Treat Panic Attacks - By Chris Gearing

Friday, May 24, 2013

Watch Dr. Sylvia Gearing describe how Gearing Up treats panic attacks and some of the most effective treatments for panic attacks - click here.

Panic attacks can begin without warning and without any apparent cause.

These intense episodes of discomfort and anxiety can be highly disruptive and severely upsetting, especially when they interfere with everyday tasks that should be easy.

Panic attacks can redefine how we see ourselves and how we measure our effectiveness in life. If they become frequent and severe enough, they can alter how we act and create significant obstacles in our lives. People with this condition tend to narrow their activities to reduce their exposure to vulnerable situations. They avoid the elevator and the highway in an effort to limit their anxiety. They plan their lives around the central goal of remaining calm.

Panic attacks can be highly disruptive since they tend to interfere with work and professional responsibilities. The public embarrassment of having a panic attack in front of your colleagues can derail an otherwise distinguished career.

At Gearing Up, we are familiar with the challenges of panic disorders. We use the latest research and scientifically proven therapy techniques, and we are confident that panic attacks can be treated with the correct approach. Here are some of the steps we take to treat panic attacks:

Panic Fingerprint:

Panic attacks can start for many reasons. The first thing we do is to help you understand your individual cycle of panic. At some point, your stress and anxiety led to a physical state of panic. Frightening thoughts of being helpless flooded your mind, and now you are probably experiencing anticipatory anxiety or the worry that another panic attack is around the corner.

Defeating Self-Fulfilling Prophecies:

Anxious people tend to expect their next panic attack to occur at the drop of a hat. They worry that they won’t be able to resolve the issue and that things will only get worse. They are convinced that they will fail and that the worst outcome is inevitable. We work with you to change how you think about situations and to shift the thoughts and beliefs going through your mind. Your thoughts can lead to panic or to peace, and they are key to defeating panic and anxiety.

Accurate Perceptions:

Our therapists will teach you how to correct your perception of other people and events so that they are more accurate and effective. We work with you to look at your perceptions and evaluate them for accuracy. We teach you the best strategies for combating negative thoughts and how to reduce your fear and anxiety.

Positive Emotions Flourish:

Accurate perceptions enhance your ability to manage your emotions. Positive emotions can finally take root and flourish once we have banished our automatic negative thoughts. When we have our thoughts under control, we can begin the real work of creating a happy and sustainable life.

Panic attacks can be very serious. If you think someone you know may experience panic attacks, please seek the assistance of a clinical psychologist.

Growing Kids Strong - Introducing Self-Efficacy - By Chris Gearing

Wednesday, March 13, 2013

Watch Dr. Sylvia Gearing describe the concept of Self-Efficacy and why it's important for your child's future success - click here.

We all hope that our children will have a safe and happy childhood.

As parents, many of us spend much our lives and most of our resources trying to make sure our children’s lives are as easy as possible. We want them to have the advantages in life that may have eluded us. However, we know that our children will inevitably encounter adversities in life. It’s important to find those key skills that will equip your child to handle anything they encounter. You want your child to view challenges as surmountable and survivable rather than as a defining negative event.

One of those key skills is a concept called self-efficacy, a term created in the 1970’s by Albert Bandura.

Self-efficacy describes your child’s ability to see themselves as capable of organizing, planning, and executing the necessary steps to succeed in any situation. They will feel empowered and confident in their ability to creatively solve problems. They don’t need any external help – they have the internal resources to generate solutions. When children look to external factors either for help or to blame for their helplessness, they can fall into scattered thinking and indecisiveness. This kind of thinking can knock even the most promising life off track. The best part of self-efficacy is that all of the courage, self-reliance, stamina, self-assuredness, and tenacity will continue to flow from their basic belief in their own self-efficacy.

As a result, unpredictable situations will not frighten your child and new environmental challenges no longer cause anxiety. Instead, novelty is often greeted with enthusiasm and new, unknown opportunities are met with resolve and singular focus. They stand tall since they are convinced that they have the resources to handle any challenge.

Sources:

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215.

"The Optimistic Child" by Martin Seligman, Ph.D.

How Gearing Up Treats Eating Disorders - By Chris Gearing

Wednesday, March 06, 2013

Watch Dr. Sylvia Gearing describe how Gearing Up treats eating disorders and some of the most effective therapies for eating disorders - click here.

Eating disorders affect millions of people every year and despite valiant efforts, many patients remain mired in unhealthy eating habits. At Gearing Up, we are committed to coaching our patients to maximum success.

We believe in evidence based treatments and utilize well executed approaches to eating disorders including:

Cognitive Behavioral Therapy:

This approach focuses on the relationship between core beliefs and thoughts, and negative emotions and behavior. By evaluating and challenging negative thinking, we can achieve an improved accuracy that leads to healthier eating and more effective living. CBT helps people with eating disorders to correct larger misperceptions about their body and their unhealthy lifestyle.

Dialectical Behavior Therapy:

This approach emphasizes skills building in the face of strong, negative emotions. Managing strong emotions often requires a set of skills to distract, sooth, and tolerate emotional distress. Developed by Dr. Marsha Linehan, DBT teaches clients that dysfunctional behaviors must be replaced by more effective skills. Since many eating disorders thrive with impulsivity and distressed minds, DBT can be a critical intervention to stop unhealthy eating cycles.

Maudsley Based Family Treatment:

This treatment approach recognizes the parents’ central role in guiding and leading their child back to health and is one of the most effective therapies for eating disorders. In addition to intensive individual therapy, we work closely with parents in family therapy and in nutritional counseling to plan and support their child’s recovery. Hopefully, interventions throughout the home and family will create an atmosphere for recovery and healing.

Psychological Testing:

We often utilize personality testing to evaluate psychological resources at a deeper level including cognitive style, emotional and informational processing approaches, affective features, self-control and willpower, the ability to tolerate stress, tendencies toward impulsivity, and self-sabotaging behaviors. Testing gives us a kind of psychological x-ray so we can pinpoint the issues that we need to address and direct treatment effectively.

Coordinated Care:

To effectively address an eating disorder, we coordinate with other professionals including a nutritionist and a physician to round out our understanding of diet, nutrition, and physical health. With every professional coordinating treatment, we have the best chance at effectively treating the eating disorder.

Sources:

The New Maudsley Approach (http://thenewmaudsleyapproach.co.uk/Home_Page.php)

The National Institute of Mental Health (www.nimh.nih.gov)

The work of Dr. Marsha Linehan


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